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Diabetes, Vol 46, Issue 1 138-142, Copyright © 1997 by American Diabetes Association
Potential role of an endothelium-specific growth factor, hepatocyte growth factor, on endothelial damage in diabetes
R Morishita, S Nakamura, Y Nakamura, M Aoki, A Moriguchi, I Kida, Y Yo, K Matsumoto, T Nakamura, J Higaki and T Ogihara
Department of Oncology, Biomedical Research Center, Osaka University Medical School, Suita, Japan.
Endothelial cells are known to secrete various antiproliferative and
vasodilating factors. Although injury of endothelial cells has been
postulated as an initial trigger of the progression of atherosclerosis in
patients with diabetes, the mechanisms of endothelial injury in diabetes
are not yet clarified. Therefore, it is important to know the effects of
high glucose on the factors that may influence endothelial cell growth. A
novel member of endothelium-specific growth factors, hepatocyte growth
factor (HGF), is produced in vascular cells. To investigate the effects of
high glucose on vascular cells, we examined 1) the effects of high glucose
on endothelial cell and vascular smooth muscle cell (VSMC) growth and 2)
the effects of high glucose on local HGF production in endothelial cell and
VSMC. Treatment of human aortic endothelial cell with a high concentration
of D-glucose, but not mannitol and L-glucose, resulted in a significant
decrease in cell number. Interestingly, addition of recombinant HGF
attenuated high D-glucose-induced endothelial cell death. Therefore, we
measured local HGF secretion of endothelial cell. Importantly, local HGF
production was significantly decreased by high D-glucose treatment. In
contrast, high D-glucose treatment resulted in a significant increase in
the number of human aortic VSMCs, whereas local HGF production was
significantly decreased in accordance with increase in D-glucose
concentration. No significant changes in numbers were observed in VSMC
treated with high mannitol and L-glucose. We also studied the mechanisms of
local HGF suppression by high D-glucose. High D-glucose treatment
stimulated transforming growth factor-beta (TGF-beta) concentration in
endothelial cell and VSMC. Decreased local vascular HGF production was
abolished by addition of anti-TGF-beta antibody. As TGF-beta inhibited
local HGF production in endothelial cell and VSMC, increased TGF-beta
induced by high D-glucose may suppress local HGF production. This study
demonstrated that high D-glucose induced endothelial cell death, stimulated
VSMC growth, and decreased local HGF production through the stimulation of
TGF-beta production both in endothelial cell and VSMC. Overall, decrease in
a local endothelial stimulant, HGF, by high D-glucose may be a trigger of
endothelial injury in diabetes, potentially resulting in the progression of
atherosclerosis.

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Copyright © 1997 by the American Diabetes Association.
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